| NPI | 1174892806 | 
|---|---|
| Former Name | SHELLY SARIG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112269) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 112269) | 
| 101Y00000X Counselor | |
| Enumeration Date | 2011-12-27 | 
| Last Update Date | 2019-07-03 |